Individual
MISS HALEY JO BABB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD/LD
Contact information
Practice address
1200 E PECAN ST, ALTUS, OK 73521-6141
(580) 379-5167
(580) 379-5669
Mailing address
1200 E PECAN ST, ALTUS, OK 73521-6141
(580) 379-5167
(580) 379-5669
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1689
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1689
OK STATE BOARD OF MEDICINE
OK
Enumeration date
06/16/2011
Last updated
02/16/2022
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